TOTALSTART BENGAL TOTALMENTEE APPLICATION FORM FOR SCALABLE ENTREPRENEURSHIP PROGRAM
Please fill this form in as much details as possible to help us understand you and your enterprise better. This will also help us in identifying your mentoring need more accurately and in suggesting a more appropriate mentor and mentoring needs matched and our decision making to set you in the process of enrolling you in any of our programs for (a) incubating or (b) scaling or (c) scaling towards investment
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INCUBATING AND SCALING MICRO AND SMALL ENTREPRENEURS IN 25 REGIONAL DISTRICT HUBS ACROSS 12+ STATES IN INDIA
Mentoring Request Date (Dates are fixed days as per circulation) *
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Time
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Which District/Sub-District you are from? *
We are presently covering only 12 Districts/Sub-Districts in this Program in Bengal
Mentee Name *
Title Name Middle-name Surname
Company Name *
Mobile Number *
Email ID *
Land Phone No
Company Type (Legal) *
Required
Enterprise Classification *
Required
Year of incorporation of the company *
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Please give us a brief overview of your venture? (at least 100 words) *
What is the current stage of your venture? (Idea-Stage? Early-Stage? Start up? Scaling?) *
What is the current strength of your team/no. of people employed? *
What is your current revenue size (in INR)? *
What is your current profitability (in INR)? *
Industry Sector *
What is your mentoring need? *
Required
What kind of support are you looking for in a mentor? *
Do you have a business plan (on paper)? If yes, please email plan to TotalStart Mentor & Governance Board TO bengal@totalstart.org *
Highlight the top 3 issues/ challenges that you are facing & need mentoring on *
What are the short term & long term goals for your enterprise in terms of growth, vision etc? Describe top 3. *
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